*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator - as a primary diagnosis code | Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.19 | |
Readmission Rate (%) | 23.9 | |
Unplanned Readmission Rate (%) | 11.08 | |
Mortality Rate (%) | ||
SNF Discharge Rate (%) | ||
Home Discharge Rate (%) | ||
PAYMENTS AND CHARGES | ||
Total Medicare Payments | ||
Payment Per Day | ||
Payment Per Hospitalization | ||
Total Medicare Charges | ||
Avg. Charges | ||
MARKET SIZING & INCIDENCE RATES | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
Total Medicare Hospitalizations after Exclusion |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 245: AICD GENERATOR PROCEDURES | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 7,390 | ||||
Total Hospitalizations with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 712 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator in DRG | 53.98 | ||||
Avg LOS at DRG | 6.08 | ||||
Avg LOS with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 2.99 | ||||
Readmission Rate at DRG | 23.13 | ||||
Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 15.03 | ||||
Unplanned Readmission Rate at DRG | 15.85 | ||||
Unplanned Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 10.98 | ||||
Total Medicare payments at DRG | $245,482,210 | ||||
Total Medicare payments with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $20,780,167 | ||||
Total Medicare payment per Day at DRG | $5,463 | ||||
Total Medicare payment per Day with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $9,765 | ||||
Total Medicare payment per Hospitalization at DRG | $33,218 | ||||
Total Medicare payment per Hospitalization with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $29,186 | ||||
Total Medicare Charges at DRG | $1,254,676,815 | ||||
Total Medicare Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $90,076,476 | ||||
Avg Charges at DRG | $169,780 | ||||
Avg Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $126,512 | ||||
Mortality Rate at DRG | 0.83 | ||||
Mortality Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | NA | ||||
SNF Discharge Rate at DRG | 13.02 | ||||
SNF Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 8.29 | ||||
Home Discharge Rate at DRG | 62.29 | ||||
Home Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 74.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 265: AICD LEAD PROCEDURES | DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 261: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 2,338 | ||||
Total Hospitalizations with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 34 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator in DRG | 2.58 | ||||
Avg LOS at DRG | 5.06 | ||||
Avg LOS with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 3.44 | ||||
Readmission Rate at DRG | 18.24 | ||||
Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | NA | ||||
Unplanned Readmission Rate at DRG | 12.43 | ||||
Unplanned Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | NA | ||||
Total Medicare payments at DRG | $49,978,149 | ||||
Total Medicare payments with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $589,609 | ||||
Total Medicare payment per Day at DRG | $4,221 | ||||
Total Medicare payment per Day with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $5,039 | ||||
Total Medicare payment per Hospitalization at DRG | $21,376 | ||||
Total Medicare payment per Hospitalization with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $17,341 | ||||
Total Medicare Charges at DRG | $249,222,220 | ||||
Total Medicare Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $2,475,486 | ||||
Avg Charges at DRG | $106,596 | ||||
Avg Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $72,808 | ||||
Mortality Rate at DRG | 1.24 | ||||
Mortality Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | NA | ||||
SNF Discharge Rate at DRG | 9.02 | ||||
SNF Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | NA | ||||
Home Discharge Rate at DRG | 68.22 | ||||
Home Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 76.47 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 23 |
NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 18 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 245: AICD GENERATOR PROCEDURES | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 7,390 | ||||
Total Hospitalizations with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 1,579 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator in DRG | 14.07 | ||||
Avg LOS at DRG | 6.08 | ||||
Avg LOS with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 4.34 | ||||
Readmission Rate at DRG | 23.13 | ||||
Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 20.46 | ||||
Unplanned Readmission Rate at DRG | 15.85 | ||||
Unplanned Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 14.95 | ||||
Total Medicare payments at DRG | $245,482,210 | ||||
Total Medicare payments with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $48,851,486 | ||||
Total Medicare payment per Day at DRG | $5,463 | ||||
Total Medicare payment per Day with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $7,126 | ||||
Total Medicare payment per Hospitalization at DRG | $33,218 | ||||
Total Medicare payment per Hospitalization with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $30,938 | ||||
Total Medicare Charges at DRG | $1,254,676,815 | ||||
Total Medicare Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $226,086,934 | ||||
Avg Charges at DRG | $169,780 | ||||
Avg Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $143,184 | ||||
Mortality Rate at DRG | 0.83 | ||||
Mortality Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 0.89 | ||||
SNF Discharge Rate at DRG | 13.02 | ||||
SNF Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 11.46 | ||||
Home Discharge Rate at DRG | 62.29 | ||||
Home Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 66.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 422,757 | ||||
Total Hospitalizations with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 407 | ||||
DRG Share of Total Hospitalizations | 1.29 | ||||
% of Total ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator in DRG | 3.63 | ||||
Avg LOS at DRG | 4.14 | ||||
Avg LOS with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 4.56 | ||||
Readmission Rate at DRG | 24.43 | ||||
Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 25.83 | ||||
Unplanned Readmission Rate at DRG | 18.48 | ||||
Unplanned Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 18.93 | ||||
Total Medicare payments at DRG | $2,636,135,714 | ||||
Total Medicare payments with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $2,668,837 | ||||
Total Medicare payment per Day at DRG | $1,507 | ||||
Total Medicare payment per Day with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $1,437 | ||||
Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
Total Medicare payment per Hospitalization with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $6,557 | ||||
Total Medicare Charges at DRG | $11,980,955,733 | ||||
Total Medicare Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $13,096,588 | ||||
Avg Charges at DRG | $28,340 | ||||
Avg Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $32,178 | ||||
Mortality Rate at DRG | 1.01 | ||||
Mortality Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | NA | ||||
SNF Discharge Rate at DRG | 16.05 | ||||
SNF Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 10.07 | ||||
Home Discharge Rate at DRG | 47.18 | ||||
Home Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 59.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 312: SYNCOPE AND COLLAPSE | DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 243,742 | ||||
Total Hospitalizations with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 211 | ||||
DRG Share of Total Hospitalizations | 0.74 | ||||
% of Total ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator in DRG | 1.88 | ||||
Avg LOS at DRG | 2.84 | ||||
Avg LOS with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 3.0 | ||||
Readmission Rate at DRG | 16.31 | ||||
Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 17.91 | ||||
Unplanned Readmission Rate at DRG | 11.3 | ||||
Unplanned Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 11.94 | ||||
Total Medicare payments at DRG | $1,150,233,161 | ||||
Total Medicare payments with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $1,078,456 | ||||
Total Medicare payment per Day at DRG | $1,663 | ||||
Total Medicare payment per Day with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $1,701 | ||||
Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
Total Medicare payment per Hospitalization with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $5,111 | ||||
Total Medicare Charges at DRG | $6,931,408,244 | ||||
Total Medicare Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $6,040,532 | ||||
Avg Charges at DRG | $28,437 | ||||
Avg Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $28,628 | ||||
Mortality Rate at DRG | 0.31 | ||||
Mortality Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | NA | ||||
SNF Discharge Rate at DRG | 18.06 | ||||
SNF Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 17.54 | ||||
Home Discharge Rate at DRG | 53.49 | ||||
Home Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 59.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 134 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator in DRG | 1.19 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 6.66 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 23.3 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 12.62 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $1,758,562 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $1,971 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $13,124 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $9,821,506 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | $73,295 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 19.4 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 18.66 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD Z4502 - Encounter for adjustment and management of automatic implantable cardiac defibrillator | 21.64 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 158 |
ST.VINCENT HEART CENTER OF INDIANA | 10580 N MERIDIAN ST | INDIANAPOLIS | IN | 46290 | 147 |
ST. VINCENT HOSPITAL & HEALTH SERVICES | 2001 W 86TH ST | INDIANAPOLIS | IN | 46260 | 119 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. TROY E RHODES | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 17 |
Dr. MIKHAEL F EL-CHAMI | 1365 CLIFTON RD NE | ATLANTA | GA | 30322 | 13 |
Dr. ALEXANDER MAZUR | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. SWATHI BAYYA | 12221 MERIT DRIVE | DALLAS | TX | 75251 | 20 |
Dr. DAN SORESCU | 550 PEACHTREE ST NE | ATLANTA | GA | 30308 | 17 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 16 |